Organization
JOSE F CEJA M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE F CEJA M.D. (PRESIDENT)
(940) 484-8400
Entity
Organization
Contact information
Practice address
2617 SCRIPTURE, SUITE 102, DENTON, TX 76201-3708
(940) 484-8400
(940) 484-8409
Mailing address
2617 SCRIPTURE STREET, SUITE 102, DENTON, TX 76201-3708
(940) 484-8400
(940) 484-8409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3696
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018LB
BLUE CROSS BLUE SHIELD
TX
01
—
00687W
MEDICARE GROUP NUMBER
TX
05
—
1732844
—
TX
01
—
4670934
AETNA
TX
Enumeration date
10/30/2007
Last updated
02/12/2009
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